The correlations between the determinants of women's health during pregnancy to the incidence of stunting
Korelasi determinan kesehatan perempuan pada masa kehamilan dengan kejadian stunting
Kata Kunci:
Stunting incidence, Women's health, Age of pregancy, Birth space, Maternal nutrition statusAbstrak
Abstract
Background: WHO's target of reducing stunting below 20% has not been achieved in Indonesia, especially in Banjar Regency, with a prevalence of 33.45%. Lok Buntar village became the locus of stunting, where 38.7% of the 116 children under five were stunted, with several determining factors including age at pregnancy, a woman's height, birth spacing, nutritional status, and anemia.
Objective: This study aims to determine the relation between determinants of maternal health during pregnancy and the incidence of stunting in Lok Buntar Village, Banjar Regency.
Method: This type of observational analytic research with a retrospective design case-control approach. The total sample of 90 pregnant women, consisting of 45 cases and 45 controls, was taken by random sampling technique. Secondary data collection instruments used were checklists, cohorts of mothers and toddlers, and MCH books.
Results: Findings show that the age of women during pregnancy is 84.0% at risk between 20 to 35 years, p-value 0.000. The spacing of births within two years was 70.4%, while the spacing of more than two years was 41.3%, with a p-value of 0.021. Respondents who have a height below 150 cm are 68.6%, with a p-value of 0.009. The nutritional status of pregnant women experiencing caloric energy deficiency is 84.2%, with a p-value of 0.002. Meanwhile, anemia and the risk of stunting were 89.7%, with a p-value of 0.000.
Conclusion: The determinants of women's health during pregnancy have significant correlations with the incidence of stunting.
Referensi
Alfarisi, R,, Nurmalasari, Y., & Nabila, S. (2019). Status gizi ibu hamil dapat menyebabkan kejadian stunting pada balita. Jurnal Kebidanan Malahayati 5.3 271-278. http://dx.doi.org/10.33024/jkm.v5i3.1404
Apriningtyas, V. N., & Kristini, T. D. (2019). Faktor prenatal yang berhubungan dengan kejadian stunting anak usia 6-24 bulan. Jurnal Kesehatan Masyarakat Indonesia, 14(2), 13-17. https://doi.org/10.26714/jkmi.14.2.2019.13-17
Aryastami, N. K., & Tarigan, I. (2017). Kajian kebijakan dan penanggulangan masalah gizi stunting di Indonesia. Buletin Penelitian Kesehatan, 45(4), 233-240. https://dx.doi.org/10.22435/bpk.v45i4.7465.233-240
Black, M. M., Lutter, C. K., & Trude, A. C. (2020). All children surviving and thriving: re-envisioning UNICEF's conceptual framework of malnutrition. The Lancet Global Health, 8(6), e766-e767. http://dx.doi.org/10.1016/ S2214-109X(20)30122-4.
Berawi, K. N. (2021). Pedoman Asupan & Asuhan 1000 Hari Pertama Kehidupan. Pusaka Media.
Dhingra, S., & Pingali, P. L. (2021). Effects of short birth spacing on birth-order differences in child stunting: Evidence from India. Proceedings of the National Academy of Sciences, 118(8), e2017834118.
Finlay, J. E., Norton, M. K., & Mejía-Guevara, I. J. I. J. (2017). Adolescent fertility and child health: the interaction of maternal age, parity and birth intervals in determining child health outcomes. Int J Child Health Nutr, 6(1), 16-33.
Gete, D. G., Waller, M., & Mishra, G. D. (2020). Effects of maternal diets on preterm birth and low birth weight: a systematic review. British Journal of Nutrition, 123(4), 446-46.
Girard, A. W., Self, J. L., McAuliffe, C., & Olude, O. (2012). The effects of household food production strategies on the health and nutrition outcomes of women and young children: a systematic review. Paediatric and Perinatal epidemiology, 26, 205-222.
Hanifah, R. N., Djais, J., & Fatimah, S. N. (2020). Prevalensi Underweight, Stunting, Dan Wasting Prevalensi Underweight, Stunting, Dan Wasting Pada Anak Usia 12-18 Bulan Di Kecamatan Jatinangor. Jurnal Sistem Kesehatan, 5(3).
Kalsel n.d. (2019). https://banjarmasin.tribunnews.com/2023/04/04/angka-stunting-di-kabupaten-banjar. Jumlah Stunting Menurut Puskesmas Kabupaten Banjar.
Kemenkes RI. (2019). Laporan Pelaksanaan Integrasi Susenas Maret 2019 dan SSGBI Tahun 2019. Badan Pusat Statistik.
Laksono, A. D., Sukoco, N. E. W., Rachmawati, T., & Wulandari, R. D. (2022). Factors Related to Stunting Incidence in Toddlers with Working Mothers in Indonesia. International Journal of Environmental Research and Public Health, 19(17), 10654.
Millward, D. J. (2017). Nutrition, infection and stunting: the roles of deficiencies of individual nutrients and foods, and of inflammation, as determinants of reduced linear growth of children. Nutrition research reviews, 30(1), 50-72.
Pimentel, J., Ansari, U., Omer, K., Gidado, Y., Baba, M. C., Andersson, N., & Cockcroft, A. (2020). Factors associated with short birth interval in low-and middle-income countries: a systematic review. BMC pregnancy and childbirth, 20(1), 1-17.
Ramli, R., Sattu, M., Ismail, A. M. S., Lalusu, E. Y., Lanyumba, F. S., Balebu, D. W., ... & Yani, A. (2022). Factors Influencing the Incidence of Stunting in Jaya Bakti Village, Pagimana District, Banggai Regency. Open Access Macedonian Journal of Medical Sciences, 10(E), 303-307.
Santosa, A., Arif, E. N., & Ghoni, D. A. (2022). Effect of maternal and child factors on stunting: partial least squares structural equation modeling. Clinical and experimental pediatrics, 65(2), 90.
Sarah M Phillips, Robert J Shulman, Kathleen J Motil, & Alison G Hoppin. (2013). Measurement of growth in children. https://medilib.ir/uptodate/show/5356.
Sekretariat Wakil Presiden RI. (2022). Strategi Nasional Percepatan Pencegahan Anak Kerdil (Stunting) Periode 2018-2024.
Simbolon, D., Riastuti, F., Jumiyati, J., & Suryani, D. (2021). Is there a Relationship Between Pregnant Women’s Characteristics and Stunting Incidence in Indonesia? Jurnal Kesehatan Masyarakat, 16(3), 331-339.
Syahril, E., Mappaware, N. A., Akib, M., & Mursyid, M. (2020). Analysis of Obstetric Medical Determinant Factors toward Mothers with the Stunting Children. Green Medical Journal, 2(3), 88-100.
Syarif, S. N. (2022). Hubungan Faktor Ibu dengan Kejadian Stunting Balita Usia 0-59 Bulan di Wilayah Kerja Puskesmas Kassi-Kassi Kecamatan Rappocini Tahun 2021. Universitas Islam Negeri Alauddin Makassar.
Titaley, C. R., Ariawan, I., Hapsari, D., Muasyaroh, A., & Dibley, M. J. (2019). Determinants of the stunting of children under two years old in Indonesia: A multilevel analysis of the 2013 Indonesia basic health survey. Nutrients, 11(5), 1106.
Unicef, & WHO, W. (2020). Levels and trends in child malnutrition: key findings of the 2019 Edition of the Joint Child Malnutrition Estimates. Geneva: World Health Organization.
Wemakor, A., Garti, H., Azongo, T., Garti, H., & Atosona, A. (2018). Young maternal age is a risk factor for child undernutrition in Tamale Metropolis, Ghana. BMC research notes, 11, 1-5.
Widyawati. (2021). Penurunan Prevalensi Stunting Tahun 2021 sebagai modal menuju generasi emas Indonesia 2045. Kemenkes RI.
Yoseph, A., & Beyene, H. (2020). The high prevalence of intestinal parasitic infections is associated with stunting among children aged 6–59 months in Boricha Woreda, Southern Ethiopia: a cross-sectional study. BMC Public Health, 20, 1-13.
Yulianti, I., & Hargiono, R. A. (2016). Hubungan status gizi ibu hamil dengan kejadian berat badan lahir rendah (BBLR) di RSUD Dr Wahidin Sudirohusodo Kota Mojokerto (Doctoral dissertation, SURYA).
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